Provider Demographics
NPI:1356318638
Name:POST, PAULA H (LCPC)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:H
Last Name:POST
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:H
Other - Last Name:NIETUPSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:PO BOX 370
Mailing Address - Street 2:
Mailing Address - City:GLEN CARBON
Mailing Address - State:IL
Mailing Address - Zip Code:62034-0370
Mailing Address - Country:US
Mailing Address - Phone:618-288-5019
Mailing Address - Fax:618-288-5059
Practice Address - Street 1:16 JUNCTION DR W
Practice Address - Street 2:
Practice Address - City:GLEN CARBON
Practice Address - State:IL
Practice Address - Zip Code:62034-2996
Practice Address - Country:US
Practice Address - Phone:618-288-5019
Practice Address - Fax:618-288-5059
Is Sole Proprietor?:No
Enumeration Date:2006-03-04
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional